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Vision - District of Columbia

CareFirst Vision

Group SizeGroup Subscriber Enrollment FormGroup Contract Application
2-50 Renewing
(Grandfathered/Non-ACA)

BlueVision Plus
CUT5153 N/A
2-50
(New & Renewing Groups)

BlueVision Plus
SUM2030 DC/GHMSI/POE (1/13) (for plans effective prior to 5/1/19)

DC/GHMSI/DN-VS ONLY/GCA (R. 11/18) (for plans effective 5/1/19 and after)
51+ Groups
(New & Returning Groups)

BlueVision Plus
SUM2709 DC/GHMSI/GCA/LG (1/14) (BP, HB(PPO), & DN-VS Only (for plans effective prior to 5/1/19)

;DC/GHMSI/DN-VS ONLY/GCA (R. 11/18) (for plans effective 5/1/19 and after)